MEDICATION ADMINISTRATION TRAINING



16192553341Whenever a medication or OTC order is received for school administration:The medication order must be reviewed and entered in HM Prescriptions by the RN. If an order must be given same day, and the RN is not on site, call the RN and FAX order for inputting to HM.All Rx pills must be inventoried in HM. (If you think parent may later question inventory, have parent sign statement with the number of pills brought in on each date.) Do not inventory liquid doses or inhalers.All administrations of medication must be documented immediately in HM00Whenever a medication or OTC order is received for school administration:The medication order must be reviewed and entered in HM Prescriptions by the RN. If an order must be given same day, and the RN is not on site, call the RN and FAX order for inputting to HM.All Rx pills must be inventoried in HM. (If you think parent may later question inventory, have parent sign statement with the number of pills brought in on each date.) Do not inventory liquid doses or inhalers.All administrations of medication must be documented immediately in HM -381004245610IF Medication Error occurs:If a dose is given more than ordered (i.e., overdose, duplicate dose)Call Poison Control Immediately (1-800-222-1222)Call Parents and report the overdoseAlways advise parents to report the duplicated dose to their health provider & seek medical careWrite an incident report (See website MEDICATIONS AT SCHOOL, Notification of Occurrence HS 107)Document error in HM – Use OV template “Error Med Admins” and CommentsWhat happened Parent notified and medical referral madeIncident report completedReported to both School Site and Health Services AdministratorsEmail Student Name, ID# and School to HS Director and Fax Notification of Occurrence to HS Department SecretaryIf a prescribed dose of medication is omitted:Contact parentDocument in HM Prescriptions that the med was not administered and whyWrite an incident report (See website MEDICATIONS AT SCHOOL, Notification of Occurrence HS 107)00IF Medication Error occurs:If a dose is given more than ordered (i.e., overdose, duplicate dose)Call Poison Control Immediately (1-800-222-1222)Call Parents and report the overdoseAlways advise parents to report the duplicated dose to their health provider & seek medical careWrite an incident report (See website MEDICATIONS AT SCHOOL, Notification of Occurrence HS 107)Document error in HM – Use OV template “Error Med Admins” and CommentsWhat happened Parent notified and medical referral madeIncident report completedReported to both School Site and Health Services AdministratorsEmail Student Name, ID# and School to HS Director and Fax Notification of Occurrence to HS Department SecretaryIf a prescribed dose of medication is omitted:Contact parentDocument in HM Prescriptions that the med was not administered and whyWrite an incident report (See website MEDICATIONS AT SCHOOL, Notification of Occurrence HS 107)571502611120Unlicensed Assistive Personnel (UAP’s) must be trained by the RN for medication administration before giving any meds. Substitutes may not administer medication.Training must include: How to record the med admin in HMHow to inventory medication (Rx pills) received from parent (UAL counts must be verified by 2 people)Necessity for immediate documentation of medication administrationRequirement of reporting errors in or omission of medication administrationSign off on Staff Training Record (see website: Medications at School)00Unlicensed Assistive Personnel (UAP’s) must be trained by the RN for medication administration before giving any meds. Substitutes may not administer medication.Training must include: How to record the med admin in HMHow to inventory medication (Rx pills) received from parent (UAL counts must be verified by 2 people)Necessity for immediate documentation of medication administrationRequirement of reporting errors in or omission of medication administrationSign off on Staff Training Record (see website: Medications at School)1409700639445Some medications are to be administered ONLY by RN/LVN:InsulinDiastat – notify HS Director when given Lorazepam – notify HS Director when givenVersed (midazolam) – notify HS Director when givenThe RN/LVN is expected to know:The reason the medication was prescribedPrecautions and possible side effects of the medicationSymptoms of over dosage00Some medications are to be administered ONLY by RN/LVN:InsulinDiastat – notify HS Director when given Lorazepam – notify HS Director when givenVersed (midazolam) – notify HS Director when givenThe RN/LVN is expected to know:The reason the medication was prescribedPrecautions and possible side effects of the medicationSymptoms of over dosageFollow District policy for assisting with medication safely and accurately:Wash hands.Check current physician’s order for medication and parent authorization to give medication.Obtain medication from locked cabinet.Check the medication label for name of student, time, medication name, dose, and route (e.g. by mouth, inhaler, etc.) a minimum of 3 times prior to administering medication to student.Must match Physician’s Order and Medication Record in Healthmaster HealthOffice.Avoid touching the medication during preparation.Identify student by asking student to state his/her first and last name. Nonverbal students may need identifying picture or 3rd party identification.Administer medication by practicing “FIVE RIGHTS OF MEDICATION ADMINISTRATION”:Right StudentRight MedicationRight TimeRight DoseRight Route Verify that student took medication.Document medication administration in Healthmaster HealthOffice.Document unusual or other circumstances in Healthmaster HealthOffice.Document when medication is not administered and the reason why.Clean and dispose of any equipment as necessary.Place medication in locked cabinet.Wash handsReport and record any medication error in Student Health Services Notification Form (HS 107). Notify parent, school nurse, and administration. Call Poison Control and Health Care Provider as directed by school nurse. Signature of Designated School Personnel: ________________________________ Date: ______________ FORMCHECKBOX I watched the Fresno Unified School District PowerPoint presentation: 5572125118745Date00Date “Medication Administration Training for Designated School Personnel” on: FORMTEXT ?????Signature of School Nurse: ________________________________________ Date: _____________REMEMBER: You must be trained in Medication Administration by your School Nurse prior to administering any medication to a student.Fresno Unified Health ServicesAugust 2008; Sept 2012 ................
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